TRUMAN MEDICAL CENTER - LAKEWOOD

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 12/03/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 09/15/2009 Correction Date: 11/19/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 09/15/2009 Correction Date: 03/10/2010

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 01/23/2009 Correction Date: 03/19/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/23/2009 Correction Date: 03/19/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 01/23/2009 Correction Date: 03/19/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 09/15/2009 Correction Date: 11/19/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 09/15/2009 Correction Date: 03/10/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/03/2010 Correction Date: 01/26/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 09/15/2009 Correction Date: 11/19/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 09/15/2009 Correction Date: 03/10/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/15/2009 Correction Date: 11/19/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 12/03/2010 Correction Date: 01/26/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/23/2009 Correction Date: 03/19/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 01/23/2009 Correction Date: 03/19/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 09/15/2009 Correction Date: 11/19/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/15/2009 Correction Date: 03/10/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/15/2009 Correction Date: 11/19/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 09/15/2009 Correction Date: 03/10/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 09/15/2009 Correction Date: 03/10/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 09/15/2009 Correction Date: 03/10/2010
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 09/15/2009 Correction Date: 03/10/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 12/03/2010 Correction Date: 01/26/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 12/03/2010 Correction Date: 01/26/2011
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 12/03/2010 Correction Date: 01/26/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/23/2009 Correction Date: 03/19/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/15/2009 Correction Date: 11/19/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 09/15/2009 Correction Date: 03/10/2010
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 09/15/2009 Correction Date: 11/19/2009

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 01/23/2009 Correction Date: 01/01/1900
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 09/15/2009 Correction Date: 11/19/2009
Provide Enough Notice Before Discharging or Transferring a Resident. Inspection Date: 09/15/2009 Correction Date: 11/19/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 09/15/2009 Correction Date: 11/19/2009
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 09/15/2009 Correction Date: 11/19/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 09/15/2009 Correction Date: 11/19/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 12/03/2010 Correction Date: 01/26/2011
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 12/03/2010 Correction Date: 01/26/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 12/03/2010 Correction Date: 01/26/2011
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 12/03/2010 Correction Date: 03/07/2011

The table below lists incident reports by the nursing staff or administration for Truman Medical Center - Lakewood, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 09/15/2009 Correction Date: 03/10/2010
Have a Program to Keep Infection from Spreading. Complaint Filed: 05/26/2011 Correction Date: 01/01/1900
Provide Needed Housekeeping and Maintenance. Complaint Filed: 05/26/2011 Correction Date: 01/01/1900

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Complaint Filed: 05/26/2011 Correction Date: 01/01/1900

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 05/26/2011 Correction Date: 01/01/1900

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 09/15/2009 Correction Date: 03/10/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Complaint Filed: 05/26/2011 Correction Date: 01/01/1900

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 05/26/2011 Correction Date: 01/01/1900

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Truman Medical Center - Lakewood had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 12/03/2010.

Building Construction

A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 12/03/2010 Correction Date: 03/07/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 12/03/2010 Correction Date: 01/26/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 09/15/2009 Correction Date: 11/19/2009

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 12/03/2010 Correction Date: 01/26/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 12/03/2010 Correction Date: 01/26/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 01/23/2009 Correction Date: 03/19/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 12/03/2010 Correction Date: 01/26/2011